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Work Activity Work Order <br />� <br />��E.f.. �C�l� <br />Page 1 <br />�/I/i006 11:1; <br />ISSUOd By CAG CRUM,GERRY <br />Issued Department PW PUBLIC WORKS <br />Date Issued sm2oos <br />Fund ao� Account 5 Program »o Function »s Activity b�s <br />Program <br />Tille TAP 6 INCH 9520 31ST AVE SE 71011�ti73 <br />WOfk OfdBf NO ZOO6iOs9 PfOJCCt ACfIVi(y Typ2 CORRECTIVE MAINTENANCE StatuS CL <br />Date sm2oos Time orat Original WO dilling <br />Customer Information <br />Customer Name <br />Address Street <br />F.partmenl No City <br />Stale Zip <br />Subdivision <br />Phone No ( ) - Ext <br />Second Phone ( ) - Ext <br />E-Mail Address <br />Problem Information <br />Address ggZp Sireet 31ST AVE SF_ <br />From Cross Street <br />To Cross St�eet <br />City <br />Subdivision <br />Problem <br />Sub Problem <br />Requested By <br />Agency <br />Iniliated From <br />Utilily Locate (USA) No Called Date <br />Assignment Information <br />Depl <br />Crew <br />Contractor <br />Assigned To <br />Assigned By <br />Assigned Dale To Be Comp Dale <br />Scheduled Date Scheduled Time <br />Route Route Sequence <br />Comments <br />Action Taken _ __ __ - - - -_ — <br />Map Book <br />�ustomer ld <br />Change Map YIN <br />Zip <br />Map Reference <br />Date Requested <br />Related Request <br />Expiration Date <br />Priority Eslimaied Hours <br />